| NPI | 1578994687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BEST JOHNSON President, Clinical Director 804-901-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005501) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001304) |
| Enumeration Date | 2013-11-29 |
| Last Update Date | 2013-12-16 |